DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	DeVries, Stacey Ann	DOIID	505650	NAIC NPN	7012431

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Adjuster	Independent
Inactive	Non Resident	Agent	Health	2/28/2002	6/30/2008
Inactive	Non Resident	Agent	Life	2/28/2002	6/30/2008
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	5/19/2000	5/19/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American United Life Insurance Company	300498	Agent - Health	2/28/2002	1/12/2007
Inactive	American United Life Insurance Company	300498	Agent - Life	2/28/2002	1/12/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Liberty Mutual Insurance Company	301159	Adjuster - Independent

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nethery, John T	357757	Apprentice Adjuster - Not Applicable	5/19/2000	5/19/2001